Provider Demographics
NPI:1891998316
Name:SHAFFER, FLORENCE MOORE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:MOORE
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SABRINA ROAD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7302
Mailing Address - Country:US
Mailing Address - Phone:339-222-8210
Mailing Address - Fax:
Practice Address - Street 1:40 DIMOCK ST
Practice Address - Street 2:DIMOCK BEHAVIORAL HEALTH CENTER Z BUILDING 1ST FLOOR
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119
Practice Address - Country:US
Practice Address - Phone:617-442-8800
Practice Address - Fax:617-442-1254
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health